Earlobes in females are almost always adorned with either ear rings or stud wear for much of their life. Since the earlobe is the part of the ear that has no cartilage, any weight on the earlobe  must be borne by the skin and the little bit of fat that lies between the front and back skin edges. This relatively flimsy bit of earlobe tissue is not too resistant to the prolonged wearing of heavy earrings or an inadvertent tug on a tangling earring. As a result, completely split earlobes or an elongated earlobe hole are very common ear problems that present in my Indianapolis plastic surgery practice. Most of what are seen are longstanding earlobe deformities that have gotten progressively worse.

The split earlobe repair is a simple office procedure that is done under local anesthesia. It is a complete excision and vertical closure of either a partial or complete earlobe tear. There is no downtime and one can resume normal activities immediately. The conventional wisdom is that that once the earlobe is repaired, it can be re-pierced again six to eight weeks later. I have used this approach throughout my entire practice and have yet to have a patient who has come back with a failure of the repair. Some plastic surgeons feel, however, that the earlobe cannot tolerate earring wear again because it will be forever be weak and recommend more complicated types of earlobe procedures. I find these rarely necessary.

One concern that some earlobe repair patients have is the time period until they can wear their earrings again. The split earlobe repair can be done so that the wearing of a stud earring can be done immediately. As part of the upper portion of the vertical earlobe closure, a small skin flap is raised from the inside of the split and rolled upward and closed. This recreates the bottom portion of the earlobe hole with fully lined skin. The remainder of the earlobe split is closed vertically as normal. The ear stud is put in at the end of the procedure. It can be taken in and out after surgery as desired.

Split earlobe repairs can be done with either a delayed re-piercing or can be designed to allow immediate stud insertion…but not immediate heavy or dangling earring wear.

Barry L. Eppley, M.D., D.M.D.

http://www.eppleyplasticsurgery.com

http://www.ologyspa.com

Clarian North Medical Center, Carmel, Indiana

Clarian West Medical Center, Avon, Indiana

Indianapolis

By far, the common ear problem that I see as a plastic surgeon is that of an earlobe problem. Whether it is damage to the earlobe from the wearing of heavy ear rings or an earlobe that has been torn due to being pulled through, the earlobe that is split in two or has an elongated hole is unsightly for many patients.

 
Contrary to popular perception, repair of a torn earlobe is a very simple procedure that can be done in the office under local anesthesia. The earlobe is very easy and relatively painless to get numb by placing local anesthetic in front of the earlobe first. Once the earlobe is numb, then I inject the earlobe with more local anesthetic for its ability to control any bleeding. This is quite a painless way to get an earlobe numb. Once the earlobe is numb, then a wedge along the split or elongated hole is removed and the earlobe is put back together. This requires stitches on on both the front and back of the earlobe. Other than a little antibiotic ointment, there are no dressings that are needed and once can shower and get it wet the next day. There is very little discomfort and or swelling after the procedure. The stitches are removed in a week. You can re-pierce the repaired earlobe in 6 weeks after the procedure.

 
Earlobe repairs can quickly and permanently repair a disfigured earlobe and make it ready to insert a new ear piercing shortly thereafter. It is not necessary to walk around with a torn earlobe out of fear that is a painful, expensive, or complicated problem to solve.

 
Dr. Barry Eppley
http://www.eppleyplasticsurgery.com
http://www.ologyspa.com
Clarian North Medical Center, Carmel, Indiana
Clarian West Medical Center, Avon, Indiana
Indianapolis